Desai, Prakash V

Desai, Prakash V is an individual health care provider with primary practice located at 1664 Mulkey Rd , Austell GA 30106-1114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Desai, Prakash V can be contacted via phone (770) 941-7709.

Contact Information

Primary practice address
1664 Mulkey Rd Austell GA 30106-1114
Phone: (770) 941-7709
Fax: (770) 941-6441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 018482 Georgia

Profile Details

NPI number 1750366472
LBN Legal business name Desai, Prakash V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Sep 15th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750366472 NPPES
Georgia MEDICAID 00132877A

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